ID 52895
JaLCDOI
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Author
Mori, Megumi
Takaya, Kumiko
Honda, Yuka
Yamane, Ayaka
Yabuki, Akiko
Hayashi, Tomoko
Ishii-Maruhama, Minako
Jinzenji, Ayako
Kohjitani, Atsushi
Shimada, Masahiko
Abstract
Orofacial pain is often difficult to diagnose and treat. However, there have been few reports on the clinical observation of dental patients with orofacial pain. We retrospectively investigated the characteristics of 221 dental patients who had suffered from persistent orofacial pain. Data were collected from the outpatient medical records in our clinic over the past 12 years. More than half of the patients (53.8%) had suffered with pain for more than 6 months from pain onset until the first visit to our clinic. The main diagnoses were neuropathic pain (30.3%), myofascial pain (23.5%), psychogenic pain (20.4%), odontogenic toothache (17.2%), and others (7.7%) such as temporomandibular disorders and glossitis. The treatments included pharmacotherapy, splint therapy, and others such as nerve block, dental treatment, physiotherapy, and/or psychotherapy. Excluding the patients (52 of 221 initially enrolled patients) with unknown responses to treatment, 65.7% showed remission or a significant improvement in pain in response to treatment. Although only a small group of patients had odontogenic toothache, the rate of improvement was highest for this disorder. In conclusion, early consultation with a dentist is useful to prevent chronicity of odontogenic pain and to make a differential diagnosis in patients with orofacial pain.
Keywords
dental patients
pain clinic
orofacial pain
dental anesthesiology
clinical observation
Amo Type
Original Article
Published Date
2014-10
Publication Title
Acta Medica Okayama
Volume
volume68
Issue
issue5
Publisher
Okayama University Medical School
Start Page
269
End Page
275
ISSN
0386-300X
NCID
AA00508441
Content Type
Journal Article
language
英語
Copyright Holders
CopyrightⒸ 2014 by Okayama University Medical School
File Version
publisher
Refereed
True
PubMed ID
Web of Sience KeyUT